Game Haven STL
2518 Woodson Road
Overland, MO 63114
314 – 942 – 3770
Parental Release Form for Minor Gamers
The goal of Game Haven is to be a place for game enthusiasts of all ages to socialize and play
the games they love. Minors between the ages of 13 and 17 are welcome to be here unattended
until 10:30 pm Monday, Tuesday, Wednesday and Thursday nights. Friday and Saturday nights,
Minors between the age of 13 and 17 may stay unattended until 11:30 pm in compliance with St.
Louis County Curfew Laws.
Children under the age of 13 are welcome in Game Haven as long as a parent or legal guardian
attends to them at all times.
We require some form of picture ID from all patrons over the age of 13, and Game Haven
employees will do their best to follow ESRB guidelines for age appropriate gaming.
The space at Game Haven is set up into several open stations, each with a different game system.
There are no dividers, while moving to one station, a gamer will likely have to pass by a number
of other stations.
I _____________________________________ give my child (age 13-17) permission to be at
(print parent/guardian name)
Game Haven. I understand that my child will be able to play any game rated T or under. While
my child will not be allowed to check out games that are rated M (mature, 17+), s/he may
see another customer playing them and be exposed briefly to some higher rated content.
To give my child permission TO CHECK OUT the Mature rated games, initial here  ______
_________________________________________________
(parent/legal guardian signature)
__________________
(date)
_________________________________________________
Minor’s Name (print)
______________________
Minor’s Date of Birth
_________________________
Phone contact #1
_________________________
Phone Contact #2
Ratings you may find on games available to play at Game Haven*
ages 6+
These games contain content that may be suitable for
children ages 6 and up. Games in this category may
contain mild, cartoon, or fantasy violence. The content is
mild in impact. Might also contain of mild
language/lyrics, comic mischief, and/or mild suggestive
themes. This rating replaced the older K-A at the
beginning of 1998.
 Mario Kart
 Super Smash
Bros.
 Legend of
Zelda
These games contain content that may be considered
suitable for children 10 years of age and up. The content
is mild to moderate in impact. Titles in this category may
contain more of mild, cartoon, or fantasy violence, mild
humor, more of mild language/lyrics, animated/mild
blood, and/or more of mild suggestive themes.
 Lego Star Wars
 Banjo-Kazooie
Nuts & Bolts
This category indicated titles with appeal to people of
many ages and tastes. Titles in this category may contain
minimal violence, some comic mischief (i.e. slapstick and
gross-out comedy), or some crude language. This rating
was replaced in 1998 by the E rating, so you will only see
this rating on older games. Subsequently, all games with
a K-A rating are considered to be E-rated with few
exceptions.
These games contain content that may be suitable for
children 13 years of age and up. The content is moderate
to strong in impact. However, they are not strictly agerestricted and children 13 and under may purchase them.
Titles in this category may contain more moderate,
cartoon, or fantasy violence, moderate blood/gore, more
gambling, strong crude/suggestive humor, used of
moderate suggestive/sexual themes, may include partial
nudity, and/or frequent use of strong language.
Games with this rating contain content that may be
considered unsuitable for people under 17 years of age
and persons under said age may purchase, rent, exhibit or
view these games with the supervision of a parent or adult
guardian. The content is strong and extreme in impact.
Titles in this category may contain more blood and gore
than the Teen rating would accommodate, mature humor,
more gambling, intense violence, sexual themes or
content, nudity, (which are often censored and stronger)
and/or use of strong language.
 Megaman
Game
 Anything on
our arcade
machine
ages 10+
All Ages
ages 13+
ages 17+
 Final Fantasy
 World of
Warcraft
 Tomb Raider
 Call of Duty 2
 Halo 3
 Diablo
 Deadrising
 Call of Duty 4
 Gears of War
 Mortal Kombat
 Grand Theft
Auto
*To learn more about the ratings on specific games, visit www.esrb.org